Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Grace Shrog, LCSW

Individual provider Clinical Social Worker · NPI 1598925711

Susan Grace Shrog, LCSW is a Clinical Social Worker in Ithaca, New York. Qualified in 1993, 33 years ago. Practices with Family and Childrens Service of Ithaca Inc, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

204 N Cayuga St
Ithaca, NY 14850-4333
Phone: (607) 273-7494
Fax: (607) 273-7484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R055331-1 (NY)

Record details

NPI number1598925711
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 11, 2008
Last updated in NPPESMarch 20, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Family And Childrens Service Of Ithaca Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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